07D0671743 CLIA NUMBER - RALPH J LAGUARDIA MD

Laboratory Demographics

  • CLIA Code: 07D0671743
  • Facility Name: RALPH J LAGUARDIA MD
  • Facility Address: 10 HIGGINS HWY SUITE 4
    MANSFIELD CENTER, CT
    ZIP 06250
  • Facility Phone: 203 456-7101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH J. LA GUARDIA MD
  • NPI Number: 1902805781
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D0671743
LAB Type Physician Office
Facility Name RALPH J LAGUARDIA MD
Street 10 HIGGINS HWY SUITE 4
City MANSFIELD CENTER
State CT
ZIP 06250
Phone 203 456-7101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Physician Office
Lab Director RALPH J. LA GUARDIA MD

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This page was last updated on: 9/29/2025